Provider Demographics
NPI:1659997435
Name:NEROES, NOELANI KEALII (LCSW)
Entity Type:Individual
Prefix:
First Name:NOELANI
Middle Name:KEALII
Last Name:NEROES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:NOELANI
Other - Middle Name:RICHARD KEALII
Other - Last Name:KIDD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:92-1264 MAKAKILO DRIVE
Mailing Address - Street 2:APARTMENT 93
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707
Mailing Address - Country:US
Mailing Address - Phone:808-699-4150
Mailing Address - Fax:808-791-6081
Practice Address - Street 1:92-1264 MAKAKILO DRIVE
Practice Address - Street 2:APARTMENT 93
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707
Practice Address - Country:US
Practice Address - Phone:808-699-4150
Practice Address - Fax:808-791-6081
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW-49681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical